Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309133181 Category : Medical Languages : en Pages : 536
Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: Karen Kruse Thomas Publisher: University of Georgia Press ISBN: 0820341789 Category : History Languages : en Pages : 401
Book Description
Plagued by geographic isolation, poverty, and acute shortages of health professionals and hospital beds, the South was dubbed by Surgeon General Thomas Parran "the nation's number one health problem." The improvement of southern, rural, and black health would become a top priority of the U.S. Public Health Service during the Roosevelt and Truman administrations. Karen Kruse Thomas details how NAACP lawsuits pushed southern states to equalize public services and facilities for blacks just as wartime shortages of health personnel and high rates of draft rejections generated broad support for health reform. Southern Democrats leveraged their power in Congress and used the war effort to call for federal aid to uplift the South. The language of regional uplift, Thomas contends, allowed southern liberals to aid blacks while remaining silent on race. Reformers embraced, at least initially, the notion of "deluxe Jim Crow"--support for health care that maintained segregation. Thomas argues that this strategy was, in certain respects, a success, building much-needed hospitals and training more black doctors. By the 1950s, deluxe Jim Crow policy had helped to weaken the legal basis for segregation. Thomas traces this transformation at the national level and in North Carolina, where "deluxe Jim Crow reached its fullest potential." This dual focus allows her to examine the shifting alliances--between blacks and liberal whites, southerners and northerners, activists and doctors--that drove policy. Deluxe Jim Crow provides insight into a variety of historical debates, including the racial dimensions of state building, the nature of white southern liberalism, and the role of black professionals during the long civil rights movement.
Author: David E. Nelson (M.D.) Publisher: ISBN: 019538153X Category : Health & Fitness Languages : en Pages : 340
Book Description
The demand for health information continues to increase, but the ability of health professionals to provide it clearly remains variable. The aim of this book is (1) to summarize and synthesize research on the selection and presentation of data pertinent to public health, and (2) to provide practical suggestions, based on this research summary and synthesis, on how scientists and other public health practitioners can better communicate data to the public, policy makers, and the press in typical real-world situations. Because communication is complex and no one approach works for all audiences, the authors emphasize how to communicate data "better" (and in some instances, contrast this with how to communicate data "worse"), rather than attempting a cookbook approach. The book contains a wealth of case studies and other examples to illustrate major points, and actual situations whenever possible. Key principles and recommendations are summarized at the end of each chapter. This book will stimulate interest among public health practitioners, scholars, and students to more seriously consider ways they can understand and improve communication about data and other types of scientific information with the public, policy makers, and the press. Improved data communication will increase the chances that evidence-based scientific findings can play a greater role in improving the public's health.
Author: Rob Christensen Publisher: UNC Press Books ISBN: 146965105X Category : History Languages : en Pages : 337
Book Description
Louisiana had the Longs, Virginia had the Byrds, Georgia had the Talmadges, and North Carolina had the Scotts. In this history of North Carolina's most influential political family, Rob Christensen tells the story of the Scotts and how they dominated Tar Heel politics. Three generations of Scotts—W. Kerr Scott, Robert Scott, and Meg Scott Phipps—held statewide office. Despite stereotypes about rural white southerners, the Scotts led a populist and progressive movement strongly supported by rural North Carolinians—the so-called Branchhead Boys, the rural grassroots voters who lived at the heads of tributaries throughout the heart of North Carolina. Though the Scotts held power in various government positions in North Carolina for generations, they were instrumental in their own downfall. From Kerr Scott's regression into reactionary race politics to Meg Scott Phipps's corruption trial and subsequent prison sentence, the Scott family lost favor in their home state, their influence dimmed and their legacy in question. Weaving together interviews from dozens of political luminaries and deep archival research, Christensen offers an engaging and definitive historical account of not only the Scott family's legacy but also how race and populism informed North Carolina politics during the twentieth century.
Author: Cynthia Freund Publisher: UNC Press Books ISBN: 1469672871 Category : Education Languages : en Pages : 317
Book Description
Nursing practice changed dramatically in the mid-1960s as experiments across the country demonstrated the effectiveness of nurses' expanded diagnostic and decision-making authority. The result was a new breed of nurse, the nurse practitioner. In A New Order of Things, Freund takes readers through that evolution. Beginning with a demonstration project at the University of North Carolina, leading to the emergence of an innovative nurse practitioner training program, the siting of rural clinics with nurse practitioners as the primary providers of health services, a consortium of nurse practitioner training programs spanning the state, and ultimately to a movement: a new order of advanced nursing practice and primary care service delivery. A New Order of Things is unique in that it documents a history with contemporary relevance, a case study illustrating how a major innovation was strategically engineered toward adoption at the organizational, health system, and state levels. Using multiple sources of historical records and 36 hours of interviews with leaders of the N.C. nurse practitioner movement, Freund illustrates how change leaders formed alliances in a politically nuanced process, thought ahead and of the present moment simultaneously, were adept at recognizing subtle clues and nimble enough to take advantage of opportune moments. This story is N.C.'s story, but it is far more than that. It is a story for any health professional striving to make change in health services and move an innovative idea into widespread adoption.
Author: Beatrix Hoffman Publisher: Univ of North Carolina Press ISBN: 0807860727 Category : Health & Fitness Languages : en Pages : 280
Book Description
The Clinton administration's failed health care reform was not the first attempt to establish government-sponsored medical coverage in the United States. From 1915 to 1920, Progressive reformers led a spirited but ultimately unsuccessful crusade for compulsory health insurance in New York State. Beatrix Hoffman argues that this first health insurance campaign was a crucial moment in the creation of the American welfare state and health care system. Its defeat, she says, gave rise to an uneven and inegalitarian system of medical coverage and helped shape the limits of American social policy for the rest of the century. Hoffman examines each of the major combatants in the battle over compulsory health insurance. While physicians, employers, the insurance industry, and conservative politicians forged a uniquely powerful coalition in opposition to health insurance proposals, she shows, reformers' potential allies within women's organizations and the labor movement were bitterly divided. Against the backdrop of World War I and the Red Scare, opponents of reform denounced government-sponsored health insurance as "un-American" and, in the process, helped fashion a political culture that resists proposals for universal health care and a comprehensive welfare state even today.
Author: Institute of Medicine
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Author: Karen Kruse Thomas
Author: David E. Nelson (M.D.)
Author: United States. Congress. Senate. Committee on Education and Labor
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Author: Rob Christensen
Author: Cynthia Freund
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Author: Beatrix Hoffman